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Permit f _ CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY I DEVELOPMENT SERVICES PERMIT #: ELR2004 -00284 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 DATE ISSUED: 9/8/2004 SITE ADDRESS: 12365 SW THORNWOOD DR PARCEL: 2S110BC -04800 SUBDIVISION: THORNWOOD ZONING: R -7 BLOCK: LOT: 019 JURISDICTION: TIG Project Description: Limited energy new SF. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: X AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: X BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: : HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: TOTAL # OF SYSTEMS: Owner: Contractor: DON MORISSETTE HOMES QUADRANT SECURITY INC 4230 GALEWOOD STE 100 PO BOX 14833 LAKE OSWEGO, OR 97035 PORTLAND, OR 97293 Phone: 503 387 - 7538 Phone: 234 - 5558 Reg #: SUP 1211JLE LIC 96806 ELE 26- 565CLE FEES Required Inspections Description Date Amount Low Voltage Inspection [ELPRMT] ELR Permit 9/8/2004 $75.00 Elect'I Final [TAX] 8% State Surchart 9/8/2004 $6.00 Total $81.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699. Issued by ,//.4 5 ? Permittee Signature �r e P(A) OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N DATE: LICENSE NO: Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day 09/07/2004 13:44 5032362322 QUADRANT SYSTEMS PAGE 01 ;` +' e c i r i c�l Permit FOR OF ICE USE' ONLY Date./By: 7 Permit No.:Lit-4 City of Tigard /OA Planning Approval Sign 13125 SW Hall Blvd. o Plan Review Re view Other — Othe No.: ----, r Pl Tigard, Oregon 97223 QF T IGA ' • Date 13y: Permit T•10.: Phone; 503- 639 -4171 Fax: 50 l Q11Vl -tr., l Internet: www.ci.tigard.orms WI Land Use `' •- I _11-. r, I ' I Dater CASE No,; . I ` Car�ct Pa 2 for 24 -hour Inspection Request: 503 - 639.4175 - etbod luri , ; $u S Ie men al Infor matlotl. 0.M,r�_i. (� ft' i_' '.„V.%tl t _t Ik'� il.1 : LJ� ii I ,tzt. :. :i•l t•:g ,a P'v n:I r -Y.. b0:4..= _ f, .�,�.. „ , ,,,., r F :.: <__,::`: �� '� � �, i r .1�. '..�:.aew,_• , .: ; ,r r�, + ,t ,t� ^ rf�. R rt, � „��,:r1X��C"�,�1 �1,�� �((ta� t ' h � , ,•���e�:, , ,. t, ;� - t'. New construction in Demolition ■ Service over 225 amps- . ■ Health -care facility r Atditionlaleraan /re.IS ittaCCxI1C11t '� Other: ❑ Service over 320 amps -rating of D Building commercial ❑ Hazardous location ( p� II II d If , - : t ce ,,.. over 10,000 square l ?h. ?';ii ►r'i ;A,'Igt, i';, :? <. I' !e ; is ".{i,)p ,I PII I tit9'I1 i ?u., rr;I . " I' ' i'r ; g 9 it feet, _.. : r :.a ........ �._,_, :., ..: ',.....,...,:, ; ... :.. : :.. .. : •:; _�: •,.: : .'( ,.. l & 2 family dwellings four or morn residential units in I . 1 & 2- Parllil dwellin_ IN Commercial/Industrial in System over 600 volts nominal one etruowre ❑ Building over three stories ❑ Feeders, 400 amps or more III Accesso Buildin _ I■ Multi -Famil ❑ Occupant load over 99 persons 0 Manufactured structures or RV park I Master Builder la Other: ❑ Egress/lighting EI Other: E :,o ;: i ` ii r.,c'kt� : ; ck.Y i ;ihl ly'( �il1(icar., t k tL J f" ��?i`, Submit sets of plans with an ,� 1.. ! ..:. ,1 @i�.).. r The above are not a..11 y of the above. Job site ad 4, Sf l) .r , . r 0100 a D r, •Il ; :able to rem re construction uctton aervtce. 'f:,� i 1 . ' -.,-,p. Suite #: BId:. /Art. #: Number of Inspections per permit allowed Pro'ect Name: Description • Qty Fee (ea.) Total Cross street/Directions to job site' New residential-single or multi- family per dwelling malt Includes attached garage. Service Included: 1000 so. ft. or less ' 145.15 , - Each additional 500 aq, ft. or portion thereof 33.40 Subdivision: 'Thor Lot #: Limited energy, residential 7s.00 . • wo ' Limited energy, non residential 75.00 Tax ma./ • arcel #: Paeb manufactured home or modular dwelling t• Ic:.'_..;: :.' i ;' , ., Ilijl _ { ;1[I''IILt,'::1b° (froi ...it^iiti_ eetvieeandorfeeder 40.90 Se rvices or feeders - installation, • alteration or relocation: , d r 200 amps or less, 80.30 201 amps to 400 anus 106.85 • amps to 600 amps - �:,r,a�,.7 ;$rtFp7yY,.lr ; i ;i t ^ ' l's I; r am : , :i .. � '` ' iiia;`L , t;:;ti a , .r 6Dt I 1000..4111P5 160.60 240 -b0 ; Over 1000 amps or volts 454.65 Name: ' _Rammed only 66.85 Address: ^ Temporary services or feeders - installation, Cl /State /Zi.: alteration, or relocation; 200 amps or less 66.85 1 • Phone: Fax _ 201 amps to 400 amps 100.30 it$ Ll1!al ? {':! _',a . ;.: p. r !:ai'`ilj .airit.li ? ; ;i,,r,'1 ' 1 � . 401to600amps 133.75 R . - .. Branch circuits - new, alteration, or Name: extension per panel: Address: A. Fee for branch circuits with purchase of _ service or feeder foe, each branch circuit 6.65 2 Cit /State/Z;i , B. Fee for branch circuits without purchase of service or feeder fee, fast branch circuit 46.55 2 Phone: Fax: Each additional branch cir cuit 6.65 2 E -mail: Mise.(Serviee or feeder not included): .:`:: ;''c: : ;, ; :,`' '., �r ;tiY:jIti F (.- Iii "` ;lj'4f.1 Each Quunporitritationcircle 53.40 2 finch !REM outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel, Business Name: alts at oil,or extension - = Page 2 2 Description: Address: P-CG, ' 1 . CI /State /Zl • : a e I . ,y . r : q -, Each additional inapectlou over the allowable In any of the above: Per inspection per hour (min. 1 hots') 62.50 Phone: Co 3 -Z — S-rs — g Fax: S75 3 - 2.. 3b - Z 3 Z Z' investigation fee: CCB Lie, #: 965)06, Lic #: 2 le 1:3111e ' - Sao S G L . E 4 ; t. • Supervising electriciat l :.._ . tr'!::. _....., ' ;; :. _ �.. •.. . :. :i�'� ;,r �iiej':f „_cY ; � .�'.� '. .: ''::� d f �,”. SubtotAl 7 . O e : 51:4 attire r - inked: ti l - Plan Review (25% of Permit Fee) $ T ' Print Name: ; ,' IllraiMMUMMAIIIII State Surcharge (8% of Permit Fee) $ C, a 0 TOTAL PERMIT FEE S / • Authorized Notice: This permit application expires If a permit is not obtained within Signature: .,/� — +' • `' Da a� ' 180 days sitter It has been accepted as complete. f *Pee methodology set byTr1- County Building Industry Service Board. ' rise( � Nid1i) 1:45 (Pleas. print name) i ADstslPermit Forms\BlcPerrttitApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line:4503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST / ; BUP Received Date Requested I / /D AM PM BUP Location 123 /5 77 tradlit Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC Footing Foundation ELC Access: Ftg Drain ELR 1.170c /— W Zg y Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear MEND Int Sheath/Shear Framing Insulation �� 1/19 dye e Q 5 F& F/41 Drywall Nailing �7 r Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final P ASS PART FAIL PLUMBING Post & Beam Under Slab C Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In U - . ow Vo tag PART FAIL D Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 0 Please call for reinspection RE: 0 Unable to inspect — no access Fire Supply Line ADA ` / _ - 0V *4611/titirfiggie_te Approach/Sidewalk Date Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site.. PASS PART FAIL CITY OF TIGARD 24 -Hour BUILDING i Inspection Line: (503) 639 -4175 ab /��A0 7 INSPECTION DIVISION Business Line: (503) 639 -4171 7 BUP Received %i 3'V �l Date Requested .'- AM PM BUP Location - / 1 ll/ L . i.. , &at - Suite MEC Contact Person L.(I ' P ( ) •l9 43 PLM Contractor Ph ( ) SWR j DIG Tenant/Owner ELC Footing ELC v Foundation Access: — 77 Ftg Drain /� dl� Crawl Drain Phf- Sll ab Inspection Notes: /2-2--- SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing l 0 r Insulation , - V 1 `� r . n � 2 , Drywall Nailing / i Firewall Fire Sprinkler Fire Alarm AO Susp'd Ceiling Roof Other: ma / ( PASS PART ,, p , /, 0 W 5 -e-e� � �� L' - - z/L�- PLUMBING 1 ,' "VV Cam! ' Post & Beam •t 4-Fc-- ��5 �i ( ) Under Slab � Rough -In Water Service < Sanitary Sewer Rain Drains ...IA , w , G / " • A / Cl `''0� l ./ ! /..//e 1 , , 2_ Catch Basin / Manhole C.o /0,e 5/if �-*�- -3 ,e4 Y--; - "( c yl � J ! Storm Drain Shower Pan ) -'4./La/ J , . / �1 / „ , ' ,e. Other: Final r .‘ hil Q Z-" / 5 -LV /lJ� co PASS PART FAIL _ Lw HANI�L _ �/iiil '1/12 5 2 / 2 Vy, , Post & Beam Rough -In � - Gas Line , _�._ n' (X4�l I - L Smoke Dampers �f /v`�i� 4 RT FAIL C RIC erW CO V Service Rough -In UG /Slab •,'oage 1 PASS PART ID Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. SITE ❑ Please call for reinspection RE: ❑ Unable to inspect - no access Fire Supply Line ADA (/ Approach/Sidewalk Date I © Inspector Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL